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Healed scars on the forearm from prior self harm. These terms are used in the more recent literature in an attempt to reach a more neutral terminology. However, the boundaries are not always clearly defined and in some cases behaviours that usually fall outside the boundaries of self-harm may indeed represent self-harm if performed with explicit intent to cause tissue damage. Although suicide is not the intention of self-harm, the relationship between self-harm and suicide is complex, as self-harming behaviour may be potentially life-threatening. However, generalising self-harmers to be suicidal is, in the majority of cases, inaccurate. Self-harm can also occur in high-functioning individuals who have no underlying mental health diagnosis.